西班牙关于艾滋病毒相关慢性炎症和心血管风险的知识,态度和实践
Sergio Serrano-Villar1, José Moltó-Marhuenda2, Marta Montero-Alonso3
1Department of Infectious Diseases, Ramon y Cajal Hospital and IRYCIS, Madrid, Spain; Centro de Investigación en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain.
Enfermedades infecciosas y microbiologia clinica (English ed.)
|November 9, 2023
概括
照顾艾滋病毒感染者 (PWH) 的传染病专家对炎症有很高的了解,但治疗作用有限. 需要更多的研究来指导PWH炎症的管理.
科学领域:
- 医学科学 医学科学 医学科学
- 传染性疾病 传染性疾病
- 心血管健康 心血管健康
背景情况:
- 接受抗逆转录病毒治疗的艾滋病毒感染者 (PWH) 通常会患上与炎症相关的慢性并发症,特别是心血管疾病.
- 由于证据不足,临床指南缺乏关于PWH炎症管理的建议.
- 医生对PWH炎症的认识尚未得到充分理解.
研究的目的:
- 将管理PWH的传染病专家 (IDS) /内科医生的知识,态度和实践 (KAP) 与风湿病学家和心脏病学家关于炎症的知识,态度和实践 (KAP) 进行比较.
- 在艾滋病毒感染的背景下,评估医生意识和临床治疗炎症的方法.
主要方法:
- 一个由IDS/内科医生,心脏病专家和风湿病专家组成的委员会设计了KAP问卷.
- 该调查包括405名医生 (每专业135名),分层按地理位置,医院规模和患者负载 (对于IDS/内科医生).
主要成果:
- 与心脏病学家和风湿病学家相比,IDS/内科医生对炎症的了解更高 (p<0.05).
- 风湿病学家对炎症管理表现出最积极的态度 (生物标志物监测,抗炎药物处方,转诊),其次是心脏病学家和IDS/内科医生 (p<0.05).
- 在治疗PWH的IDS/内科医生中,观察到多年的经验和对炎症临床后果的担忧之间存在负相关性.
结论:
- 尽管知识丰富,但治疗PWH的IDS/内科医生由于缺乏基于证据的指导方针,对炎症的治疗影响有限.
- 这些发现强调了对监测和治疗艾滋病毒感染者炎症的更多科学证据的迫切需要.
- 专家意识和主动管理PWH炎症需要进一步调查和有针对性的干预措施.
关键词:
态度 态度 态度 态度态度 态度是一种态度.心血管疾病的风险.慢性炎症是一种慢性炎症.临床实践中的临床实践有关知识的知识.问卷 问卷 是一个问卷.艾滋病病毒 艾滋病病毒 艾滋病病毒慢性炎症是一种慢性炎症.知识知识知识知识知识.这是一家实践性诊所.问卷调查问卷 问卷调查问卷心血管疾病的风险艾滋病病毒 艾滋病病毒更多相关视频
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